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Key Questions to Consider:​ ​

  • What i​s the current situation? What trends can be seen in key indicators of health and development?
  • Who is affected by these issues, how, and to what extent?
  • What personal, environmental, and social factors affect these issues?

Core Activities:

  • Assess and monitor levels/indicators of:
    •  Non-communicable diseases (NCDs) (i.e., cardiovascular diseases, chronic respiratory diseases, diabetes, cancers) and their modifiable risk factors (i.e., tobacco use, diet, physical activity, alcohol use)
    • Communicable diseases (e.g., new cases of HIV, Dengue fever, Ebola Virus Disease)
    • Sustainable Development Goals (SDGs) (e.g., end poverty, end hunger, ensure healthy lives and promote wellbeing)
    • Social determinants of health (e.g., income inequality, social exclusion)
  • Conduct a comprehensive assessment of the amount and type of problems, and the nature of their determinants, including an analysis of the costs and burden to the overall population and different sub-groups
  • Use social marketing to increase public awareness of the burden of non-communicable diseases (NCDs) and what can be done to address them; including the consequences for people and impact on socioeconomic development


Field Note​: Assessment using the COMBI Plan to Control Dengue Fever in the Seychelles

Map image of Seychelles

In January 2013, the Ministry of Health announced an outbreak of suspected Dengue in the Seychelles. A national rapid response team was set up with a Sub-Committee mandated to develop a Communication for Behavioural Impact (COMBI) Plan to support health promotion interventions being carried out. A rapid assessment of knowledge, awareness and perceptions of dengue amongst the at-risk population was one of the main activities integrated as part of the Plan. This was important as there was a need to highlight any gaps in knowledge as to the cause, transmission, and risk reduction steps needed to interrupt a potential ep​idemic. Structured questionnaires were administered in two selected districts. The results of the survey provided concrete evidence that despite​ high knowledge amongst community members, there was a need to strengthen community-based interventions and to empower community members to be the leading force and take ownership of the interventions. The assessment guided the interventions of the COMBI Plan, particularly in defining the key messages to be used, development of targeted IEC materials, and implementation of community-based interventions.

[SOURCE: This field note was contributed by: Health Promotion Officer in Seychelles.​]


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